Relationship between choice and quality of life among residents in long-term-care facilities.

OBJECTIVE This study tested the association between perceptions of personal control and quality of life among older persons. METHOD Two self-report instruments. The Quality of Life Rating (QOLR) and the Duncan Choice Index (DCI), were administered to 21 residents in a long-term-care facility. The DCI was developed for this study to measure the amount of choice available in 29 self-care and leisure activities. RESULTS A significant positive correlation (r = .54; p = .01) between the amount of choice residents perceive they have and their quality of life was found. The DCI was shown to be reliable with preliminary evidence of construct validity. CONCLUSION Enhancing personal control in everyday life may be associated with improved quality of life. Occupational therapy strategies to empower residents through increasing choice and control include increasing community in the facility emphasizing personal responsibility, and enabling choices in everyday tasks.

[1]  E. Langer,et al.  The effects of choice and enhanced personal responsibility for the aged: a field experiment in an institutional setting. , 1976, Journal of personality and social psychology.

[2]  E. Langer,et al.  Long-term effects of a control-relevant intervention with the institutionalized aged. , 1977, Journal of personality and social psychology.

[3]  B. Chang Generalized Expectancy, Situational Perception, and Morale: among Institutionalized Aged , 1978, Nursing research.

[4]  G. Kielhofner,et al.  The relationships between volition, activity pattern, and life satisfaction in the elderly. , 1986, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[5]  G. Motta OMNIBUS BUDGET RECONCILIATION ACT , 1987 .

[6]  B L Thomas Self-esteem and life satisfaction. , 1988, Journal of gerontological nursing.

[7]  R. Larson,et al.  Is Feeling “in Control” Related to Happiness in Daily Life? , 1989, Psychological reports.

[8]  C. Estes,et al.  The biomedicalization of aging: dangers and dilemmas. , 1989, The Gerontologist.

[9]  Frcpc Oluwafemi Agbayewa Mb,et al.  Empowering Long Term Care Facility Residents Using a Resident Staff Group Approach , 1990 .

[10]  Personal Control and Other Determinants of Psychological Well-Being in Nursing Home Elders , 1990, Scholarly Inquiry for Nursing Practice.

[11]  L. Taft,et al.  Reminiscence, Life Review, and Ego Integrity in Nursing Home Residents , 1990, International journal of aging & human development.

[12]  S. Arnold,et al.  Measurement of Quality of Life in the Frail Elderly , 1991 .

[13]  M. Mitchell,et al.  Factors Contributing to Learned Helplessness in the Institutionalized Aged , 1991 .

[14]  N. Kari,et al.  The Lazarus Project: the politics of empowerment. , 1991, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[15]  Gary Kielhofner,et al.  Conceptual Foundations of Occupational Therapy , 1992 .

[16]  Jacob Cohen,et al.  A power primer. , 1992, Psychological bulletin.

[17]  R. Arnold,et al.  The erosion of autonomy in long-term care , 1992 .

[18]  D. Buck Mental Health in the Nursing Home , 1992 .

[19]  Shelley F. Martin,et al.  OBRA Legislation and Recreational Activities: Enhancing Personal Control in Nursing Homes , 1993 .

[20]  D. Nelson,et al.  The effects of options on performance of an art project in adults with mental disabilities. , 1993, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[21]  Janet Lee,et al.  The Empowerment of Women Residents in the Nursing Home , 1993 .

[22]  Environmental Interaction Patterns Among Institutionalized and Non-Institutionalized Older Adults , 1993 .

[23]  W. Strawbridge,et al.  Impact of internal health locus of control on health outcomes for older men and women: a longitudinal perspective. , 1994, The Gerontologist.

[24]  Marcia G. Ory,et al.  Aging and quality of life , 1994 .

[25]  Margie E. Lachman,et al.  Maintaining a sense of control in later life. , 1994 .

[26]  R. Vallerand,et al.  Motivation, self-determination, and person-environment fit as predictors of psychological adjustment among nursing home residents. , 1994, Psychology and aging.

[27]  M. Zimmerman Psychological empowerment: Issues and illustrations , 1995, American journal of community psychology.

[28]  V. Durand,et al.  Choice assessment in residential settings , 1995 .

[29]  A. Caplan,et al.  Everyday Matters in the Lives of Nursing Home Residents: Wish for and Perception of Choice and Control , 1997, Journal of the American Geriatrics Society.

[30]  R Zemke,et al.  Occupational therapy for independent-living older adults. A randomized controlled trial. , 1997, JAMA.

[31]  Myrna Silverman,et al.  Community Formation and Community Roles among Persons with Alzheimer’s Disease: A Comparative Study of Experiences in a Residential Alzheimer’s Facility and a Traditional Nursing Home , 1999, Qualitative health research.